| NPI | 1790041705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHNSON Owner/Member 580-745-5171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80077) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: TX 80264) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2014-02-11 |